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:L:1Waste Tire Stey & Inspection ReK t SURVEY REQUIRED <br /> '1• State of California <br /> CIWMB183 (New 04/04) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: -7 I 2 ® Report <br /> Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> Z Y\ �,p Jesy co c•net o ►-� S��P . <br /> 5 ems. 4. �� �•�. <br /> Ce5 C- <br /> JE <br /> 42408 <br /> Xc A M I P I L 1 2 3 4� <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />